St Vincent's Hospital, Melbourne, Australia.
Launceston General Hospital, Launceston, Australia.
Br J Anaesth. 2020 Jun;124(6):702-711. doi: 10.1016/j.bja.2020.01.024. Epub 2020 Mar 12.
A transgender woman is a person assigned male sex at birth who identifies as a woman. With the numbers of transgender identity on the rise, encountering a transgender woman requiring routine surgery is becoming more common in anaesthetic practice. The perioperative period can be challenging for transgender women, but these challenges can be mitigated by a skilled and sensitive perioperative team. Engagement with patients and their primary physicians is important. Whilst there are anaesthetic issues relevant to both transgender women and men, there are many issues unique to transgender women. This article focuses only on considerations for the perioperative care of the transgender woman. This narrative review provides an overview of the factors influencing the safe care of the transgender woman presenting for routine surgery, including the potential social and pharmacological factors to consider, and anatomical changes to be aware of from previous gender confirming or feminisation surgeries that can influence clinical decision-making.
跨性别女性是指出生时被指定为男性的人，但自我认同为女性。随着跨性别认同人数的增加，在麻醉实践中遇到需要常规手术的跨性别女性越来越常见。围手术期对跨性别女性来说可能具有挑战性，但一个熟练且敏感的围手术期团队可以减轻这些挑战。与患者及其主要医生的接触非常重要。虽然有一些与跨性别女性和男性都相关的麻醉问题，但也有许多仅存在于跨性别女性身上的问题。本文仅关注围手术期护理跨性别女性的注意事项。这篇叙述性综述提供了影响安全护理接受常规手术的跨性别女性的因素概述，包括可能需要考虑的社会和药理学因素，以及以前的性别确认或女性化手术中需要注意的解剖学变化，这些变化可能会影响临床决策。
